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一名马凡综合征患者的急性主动脉夹层酷似急性下后壁心肌梗死。

Acute aortic dissection mimics acute inferoposterior wall myocardial infarction in a Marfan syndrome patient.

作者信息

Phowthongkum Prasit

机构信息

King Chulalongkorn University, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Pathumwan, Bangkok, 10330, Thailand.

出版信息

BMJ Case Rep. 2010;2010. doi: 10.1136/bcr.08.2009.2155. Epub 2010 Mar 4.

DOI:10.1136/bcr.08.2009.2155
PMID:22389656
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3028170/
Abstract

A 30-year old man with acute chest pain was diagnosed with acute inferoposterior wall myocardial infarction following electrocardiography. After a failed coronary angiography, an echocardiogram revealed an aortic intimal flap after which acute aortic dissection was diagnosed. The patient received a successful Bentall operation without immediate complication. Retrospective examination then confirmed the diagnosis of Marfan syndrome. This case demonstrates acute aortic dissection may mimic acute myocardial infarction.

摘要

一名30岁急性胸痛男性经心电图检查后被诊断为急性下后壁心肌梗死。冠状动脉造影失败后，超声心动图显示主动脉内膜瓣，随后诊断为急性主动脉夹层。该患者成功接受了Bentall手术，无即刻并发症。回顾性检查随后确诊为马方综合征。该病例表明急性主动脉夹层可能酷似急性心肌梗死。

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本文引用的文献

1
Acute aortic dissection developing acute myocardial infarction diagnosed by accidentary inserting the catheters into the false lumen during catheterization: a pitfall and rare image.导管插入术期间意外将导管插入假腔导致急性主动脉夹层并发急性心肌梗死：一个陷阱及罕见影像表现
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2
Stanford type A acute dissection developing acute myocardial infarction.斯坦福A型急性主动脉夹层并发急性心肌梗死。
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3
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